Book An Equipment Safety Training Course in Perth Western Australia

EQUIPMENT SAFETY TRAINING COURSES BOOKING FORM

Contact Details:

Name*

Company Contact*

Company

Phone*

Email*

Fax

Purchase Order No

Postal Address

Course Details:

Course at Equip-Safe's Training Centre

All courses can be conducted on a Saturday (2 day Forklift and EWP over two weekends). An additional fee of $60.00 per person per course applies.To attend the forklift course or EWP course you must be 18 years of age or older.

These courses are also available to be conducted on your site, please contact Equip-Safe for on-site pricing.For other courses (loaders, excavators etc) please contact Equip-Safe for costs and a booking form.

Quantity

Date

Total

$ 0.00

Payment Method

Private Payment: To be made prior to commencement of course. This can be made by cash, EFTPOS, or credit/debit card, or can be made by direct deposit to: Account Name: Equip-Safe, BSB: 306-127 Account No.: 0187559. Please ensure your surname is on the deposit. If payment is to be made by credit card, please complete the authority above. Once payment has been received a receipt will be issued.

Company Payment: To be made prior to commencement of course, or in some circumstances Equip-Safe will accept purchase orders and will invoice at the completion of the course. If paying by company credit card please complete the authorisation above. Details for a direct deposit are: Account Name: Equip-Safe, BSB: 306-127, Account No.: 0187559.

Please ring Equip-Safe if you prefer to pay via Credit Card

Participants Details:

Attending training (multiple from one Company)

Name as per Drivers Licence

Course Attending

Date

If booking for more than one participant, and there is an issue with any of the below 3 questions, please complete a separate booking form for each participant.

Do you have any disabilities or impairments that Equip-safe should be aware of, which may affect your training?

Yes – please contact Equip-Safe to discuss prior to attending

No

Do you have a good command of the English language? ie are you able to understand verbal instructions and able to undertake a written assessment (as required by OSH Regulation 6.20(d). “is satisfied that the person has sufficient knowledge of the English language, both written and oral, to safely do work of that class”

Yes

Verbally yes, but would have issues with written assessment

No – verbally or written – please contact Equip-Safe to discuss.

Do you consider that you have any medical conditions that Equip-Safe need to be aware of which may affect your training?

Yes – please contact Equip-Safe to discuss prior to attending

No

NOTE:

CANCELLATION OF COURSE Please phone on 1300 793 971 or email admin@equipsafe.com.au if you or your staff member(s) need to cancel a course. Equip-Safe’s policy on course cancellations is as follows: > More than 48 hours notice given: Full refund. > Less than 48 hours (2 business days) notice given: 50% of course cost will be charged. > Less than 24 hours (1 business day) notice given: 100% of course cost will be charged (excluding Worksafe fee if applicable).

NO BOOKING IS CONFIRMED UNTIL CONFIRMATION IS RECEIVED BY YOU FROM EQUIP-SAFE ADMINSTRATION.Equip-Safe's Terms and Conditions are available under the heading "Information" on our Home Page